Provider Demographics
NPI:1134117070
Name:ZOHN, LAWRENCE K (MD)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:K
Last Name:ZOHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4905 W TILGHMAN ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9130
Mailing Address - Country:US
Mailing Address - Phone:484-866-9583
Mailing Address - Fax:610-366-1147
Practice Address - Street 1:4905 W TILGHMAN ST
Practice Address - Street 2:SUITE 250
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9130
Practice Address - Country:US
Practice Address - Phone:484-866-9583
Practice Address - Fax:610-366-1147
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD043214E207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000000146310OtherTHREE RIVER
PA30009349OtherKEYSTONE MERCY
PA01511467OtherGATEWAY
PA0085043000OtherINDEP. BLUE CROSS
PA0156585OtherKHP CENTRAL
PA156585OtherHIGHMARK
PA0011591420009Medicaid
PA20026203OtherAMERIHEALTH MERCY
PAP00082737Medicare PIN
PA01511467OtherGATEWAY
PA156585OtherHIGHMARK